Practice Information

Medical Licences in Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.

Practice Restrictions

As from June 8, 2017, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Eugenio Cicoria, in
accordance with an undertaking and consent given by Dr. Cicoria to the College
of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. EUGENIO CICORIA
("Dr. Cicoria")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
A. PREAMBLE
(1) In this Undertaking:
"Code" means the Health Professions Procedural Code, which is Schedule 2
to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as
amended;
"ICR Committee" means the Inquiries, Complaints and Reports Committee of
the College.
"NMS" means the Drug Program Services Branch, the Narcotics Monitoring
System implemented under the Narcotics Safety and Awareness Act, 2010,
S.O. 2010, c. 22, as amended;
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the
public.
(2) I, Dr. Cicoria, certificate of registration number 52608, am a member of
the College.
(3) I, Dr. Cicoria, acknowledge that the College received information from
the NMS and initiated an investigation bearing File Number 7215559 (the
"Investigation") into whether I failed to maintain the standard of
practice of the profession and/or am incompetent in my prescribing of
controlled substances, including narcotics.
B. UNDERTAKING
(4) I, Dr. Cicoria, undertake to abide by the provisions of this Undertaking
effective immediately upon the signing of this Undertaking.
(5) Professional Education
(a) I, Dr. Cicoria, undertake to participate in and successfully
complete all elements of the detailed IEP, attached hereto as
Schedule "A", including but not limited to, the following elements
of professional education (the "Professional Education"):
(i) University of Toronto Faculty of Medicine program in Safe
Opioid Prescribing (all three webinars and in-person
workshop): www.cepd.utoronto.ca/opioidprescribing.
(ii) Review and provide a written summary of the following
resources:
(1) CPSO Policy "Prescribing Drugs":
http://www.cpso.on.ca/Policies-Publications/Policy/Prescribing-
Drugs;
(2) Current 2017 Canadian Guideline for Safe and Effective
Use of Opioids for Chronic Non-Cancer Pain:
http://nationalpaincentre.mcmaster.ca/opioid;
(3) article on Preventing the misuse of
opioids:https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2015/preventing-the-misuse-of-opioids;
and
(4) the Medical Record policy:
http://www.cpso.on.ca/Policies-Publications/Policy/Medical-
Records.
(b) I, Dr. Cicoria, undertake to provide proof to the College of my
successful completion of each element of the Professional Education
specified above, including proof of registration, attendance and
participant assessment reports where available, within one (1)
month of completion of each element. I acknowledge that the College
will determine, in its sole discretion, whether I have successfully
completed each element of the Professional Education.
(c) I, Dr. Cicoria, acknowledge that a report or reports may be
provided to the College regarding my progress and compliance with
the Professional Education.
(6) Reassessment of Practice
(a) I, Dr. Cicoria, undertake that, approximately six (6) months after
the Professional Education set out under section 5 of the
Undertaking has been completed, I will submit to a reassessment of
my practice by an assessor or assessors selected by the College
(the "Reassessment").
(b) I, Dr. Cicoria, acknowledge and agree that the Reassessment may
include a chart review, direct observation of my care, interviews
with colleagues and co-workers, feedback from patients and any
other tools deemed necessary by the College.
(c) I, Dr. Cicoria, undertake to co-operate fully with the
Reassessment, conducted under the terms of this Undertaking.
(d) I, Dr. Cicoria, acknowledge that the results of the Reassessment
will be provided to me and reported to the College and that the
Reassessment may form the basis of further action by the College.
(7) Monitoring
(a) I, Dr. Cicoria, undertake to inform the College of each and every
location that I practise or have privileges, including, but not
limited to, hospital(s), clinic(s) and office(s), in any
jurisdiction (collectively my "Practice Location(s)"), within ten
(10) business days of executing this Undertaking. Going forward, I
further undertake to inform the College of any and all new Practice
Locations within ten (10) business days of commencing practice at
that location.
(b) I, Dr. Cicoria, undertake and agree that I will submit to, and not
interfere with, unannounced inspections of my Practice Location(s)
and patient records by a College representative for the purposes of
monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Cicoria, give my irrevocable consent to the College to make
appropriate enquiries of the Ontario Health Insurance Plan
("OHIP"), the Drug Program Services Branch, the Narcotics
Monitoring System ("NMS") implemented under the Narcotics Safety
and Awareness Act, 2010 and/or any person or institution who may
have relevant information, in order for the College to monitor my
compliance with the provisions of this Undertaking.
(d) I, Dr. Cicoria, acknowledge that I have executed the OHIP and NMS
consent form(s), attached hereto as Schedule "B" and Schedule "C",
respectively.
C. ACKNOWLEDGEMENT
(8) I, Dr. Cicoria, acknowledge that all schedules attached to or referred to
in this Undertaking form part of this Undertaking.
(9) I, Dr. Cicoria, acknowledge that I shall be solely responsible for
payment of all fees, costs, charges, expenses, etc. arising from the
implementation of any of the provisions of this Undertaking.
(10) I, Dr. Cicoria, acknowledge and confirm that I have read and understand
the provisions of this Undertaking and that I have obtained independent
legal counsel in reviewing and executing this Undertaking, or have waived
my right to do so.
(11) I, Dr. Cicoria, acknowledge that the College will provide this
Undertaking to any Chief of Staff, or a colleague with similar
responsibilities, at any Practice Location ("Chief(s) of Staff").
(12) I, Dr. Cicoria, acknowledge that a breach by me of any provision of this
Undertaking may constitute an act of professional misconduct and/or
incompetence, and may result in a referral of specified allegations to
the Discipline Committee of the College.
(13) I, Dr. Cicoria, acknowledge that this entire Undertaking constitutes
terms, conditions, and limitations on my certificate of registration for
the purposes of section 23 of the Code.
(14) Public Register
(a) I, Dr. Cicoria, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Cicoria, acknowledge that, in addition to this Undertaking
being posted in accordance with the section above, the following
summary shall be posted on the Public Register during the time
period that this Undertaking remains in effect:
The College received information from the Narcotics Monitoring
System about Dr. Cicoria's prescribing of controlled substances,
including narcotics.
Based on the information received, the College conducted an
investigation into whether Dr. Cicoria failed to maintain the
standard of practice of the profession and/or was incompetent in
his prescribing of controlled substances, including narcotics. As
a result of the investigation:
* Dr. Cicoria will engage in professional education in
the prescribing of controlled substances, including
narcotics.
* Following the professional education, Dr. Cicoria's
prescribing of controlled substances, including
narcotics, will be re-assessed by an assessor selected
by the College.
D. CONSENT
(15) I, Dr. Cicoria, give my irrevocable consent to the College to provide the
following information to any person who requires this information for the
purposes of facilitating my completion of the Professional Education:
(a) any information the College has that led to the circumstances of my
entering into this Undertaking;
(b) any information arising from any investigation into, or assessment
of, my practice; and
(c) any information arising from the monitoring of my compliance with
this Undertaking.
(16) I, Dr. Cicoria, give my irrevocable consent to the College to provide all
Chief(s) of Staff with any information the College has that led to the
circumstances of my entering into this Undertaking and/or any information
arising from the monitoring of my compliance with this Undertaking.
(17) I, Dr. Cicoria, give my irrevocable consent to any person who facilitates
my completion of the Professional Education, Chiefs of Staff and
Assessors, to disclose to the College, and to one another, any
information:
(a) relevant to this Undertaking;
(b) relevant to the Reassessment;
(c) relevant for the purposes of monitoring my compliance with this
Undertaking; and/or
(d) which comes to his or her attention in the course of providing the
Professional Education and which he or she reasonably believes
indicates a potential risk of harm to my patients.

Concerns

Source: MemberActive Date: June 8, 2017Expiry Date: Summary: Summary of the Undertaking given by Dr. Eugenio Cicoria to the College of Physicians and Surgeons of Ontario effective June 8, 2017:

The College received information from the Narcotics Monitoring System about Dr. Cicoria's prescribing of controlled substances, including narcotics.

Based on the information received, the College conducted an investigation into whether Dr. Cicoria failed to maintain the standard of practice of the profession and/or was incompetent in his prescribing of controlled substances, including narcotics. As a result of the investigation:

- Dr. Cicoria will engage in professional education in the prescribing of controlled substances, including narcotics.

- Following the professional education, Dr. Cicoria's prescribing of controlled substances, including narcotics, will be re-assessed by an assessor selected by the College.